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I Have A Lot Of Low Back Pain In Chronic

Posted on Thu, 10 Oct 2019

Question: I have a lot of low back pain in chronic doesn’t go away in the morning my legs aches and my feet feel stiff and hot I did have an MRI which states I have issues as impingement/pars defect / herniation mainly at L5-S1 can it cause these symptoms it’s a pain that’s all day every day I have pain also in my buttocks and hips/// but I’m concern as also in the morning I feel my hands achy stiff and warm did blood work for arthritis normal

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Symptoms are most likely due to the pinched nerves in the back.

Detailed Answer:
Thank you for posting your query.

I am Dr. Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, the most likely cause of your symptoms is the pinched nerve in the lower back. Common symptoms of a slipped disc include back and leg pain.

Please check the vitamin D levels to rule out the deficiency.

If symptoms are troublesome, you may take Pregabalin capsules for relief from pain (prescription based medication).

I hope my answer helps.
Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sudhir Kumar (2 hours later)

Vitamin D levels are normal is muscle twitches cause of the low back issue

Answered by Dr. Sudhir Kumar (47 minutes later)

Brief Answer:
Muscle twitches can be due to lower back issues.

Detailed Answer:
Muscle twitches can occur due to the low back issue. A pinched nerve in the back can cause radiculopathy (compression of the nerve) resulting in pain and muscle twitches.

Regards

Dr Sudhir Kumar, MD, DM

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Sudhir Kumar (2 hours later)

Also feel pressure in pelvis and bladder can that be from back will attach mri have to find it

Follow up: Dr. Sudhir Kumar (39 minutes later)

And walking hurts back when can I do to help with my back pain

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
Medicines and physiotherapy will help.

Detailed Answer:
Pelvis and bladder symptoms may occur in severe cases of lumbar disc disease.

For relief from pain, you can start pregabalin capsules. Physiotherapy techniques can also help in relieving pain.

Please attach the MRI report.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sudhir Kumar (15 hours later)

I uploaded mri and xray

Follow up: Dr. Sudhir Kumar (2 minutes later)

Like I said I have constant pain in low back legs feet also I have pain in the urethra and pelvic feels like I need to urinate but no I went to urologist didn’t see anything just a little urine that wasn’t voided tryin to figure out if my low back pain is due to this from mri

Answered by Dr. Sudhir Kumar (9 hours later)

Brief Answer:
Urinary symptoms are not related to back issue.

Detailed Answer:
Thank you for uploading the MRI and X-ray reports.

These findings indicate mild disc disease and can explain your back and leg pain. However, there is no relation between your urinary symptoms and low back issue.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sudhir Kumar (7 hours later)

Can the urinary be a separate issue not neurological

Answered by Dr. Sudhir Kumar (15 minutes later)

Brief Answer:
Yes, urinary symptoms are separate.

Detailed Answer:
Yes, urinary symptoms are not related to lumbar disc disease, and should be separately evaluated and treated by Urologist.

Best wishes,

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Yogesh D